• 제목/요약/키워드: 우울불안

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무용/동작치료가 입원중인 정신분열증 환자의 정신건강 변화에 미치는 영향 (Effect of Dance/Movement Therapy on Mental Health in In-patient with Schizophrenia)

  • 김홍자;김인숙;김도형
    • 한국콘텐츠학회논문지
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    • 제11권4호
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    • pp.458-467
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    • 2011
  • 본 연구는 무용/동작치료가 입원중인 정신분열증 환자의 정신건강 변화에 미치는 효과를 알아보고자 STAXI, BDI, STAI, PANSS 비교분석 하였다. 대상자는 대전 J병원에서 입원치료를 받고 있는 정신분열증 환자 중 선정기준에 적합한 38명을 무용/동작치료군 18명, 대조군 20명씩 할당하여 분노는 STAXI, 우울은 BDI, 불안은 STAI로, 양성 및 음성증상은 PANSS를 사용하여 비교분석하였다. 상태 분노가 유의하게 감소하였고, 분노 표현 중에서 분노 통제가 유의하게 증가하였다. 우울은 유의하게 감소하였으며, 음성 증후군 척도에서 유의한 호전을 보였다. 결과적으로 입원한 정신분열병 환자에게 무용/동작치료는 상태 분노를 감소시키고, 분노 통제를 증진시켰고, 우울을 감소와 음성 증상에 긍정적 효과가 나타났다.

일 대학 대학생의 우울증 인식도 및 우울증 지원프로그램 수요조사 (A Study on Awareness of Depression and Needs of a Depression Support Program in the University)

  • 김우재;김설민;김은경;김경훈;송지영;백종우
    • 대한불안의학회지
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    • 제6권1호
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    • pp.55-64
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    • 2010
  • Objective : Depression is a significant and growing problem among college students. Depression contributes to numerous academic, social, and health problems, including suicide. This study surveyed depression awareness and the need for establishing a depression support program through Kyunghee University. Methods : We used the Kyunghee University Mail delivery system for college students to conduct this survey on depression and depression. Results : All of the students who responded to the survey, 41.86% reported that they had experienced depression. Among students experiencing depression, 27.27% experienced suicidal ideation, and 56.56% said they wanted to receive mental health counseling or treatment. All the respondents, 47.04% of respondents said they would to go to the external medical center, not school's internal counseling center of school, for such treatment. All the respondents, 73.75% said the student depression/suicide problem was serious. In addition, 71.34% of respondents required a depression support program. Conclusion : The university's depression support program needs to improve its accessibility by developing content focused on the early detection of, and improved awareness of, depression.

위식도역류질환과 관련 없는 비심인성 흉통 환자의 우울 및 불안 (GERD-unrelated Non-cardiac Chest Pain may be Associated with Depression and Anxiety)

  • 박주언;류한욱;이풍렬;유범희
    • 대한불안의학회지
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    • 제2권1호
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    • pp.28-32
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    • 2006
  • Objectives : Non-cardiac chest pain (NCCP) can be divided into gastroesophageal reflux disease (GERD) related NCCP and non-GERD related NCCP. Our study was designed to examine the differences in clinical characteristics and psychological mood states between the two clinical syndromes. Methods : After some cardiologic evaluations such as treadmill exercise, coronary angiography, and echocardiography, 27 patients with NCCP were enrolled in this study. They were divided into patients with GERD related NCCP (12 patients) and those with non-GERD related NCCP (15 patients) using the upper gastrointestinal endoscopy and the ambulatory 24 hour esophageal pH monitoring. Clinical characteristics such as typical reflux symptoms and psychological mood states were measured. Patients who showed scores more than 10 on the Beck Depression Inventory (BDI) or Beck Anxiety Inventory (BAI) were defined as depressed or anxious group. Anxiety sensitivity Index (ASI) was also measured in all patients. All parameters were compared between patients with GERD related NCCP and those with non-GERD related NCCP. Results : The two groups showed a difference in typical reflux symptoms. Patients with non-GERD related NCCP had higher scores on the BDI, BAI and ASI than those with GERD related NCCP. Among all NCCP patients, 14 patients (51.9%) were suggested to have possible depression or anxiety disorders. Conclusion : The non-GERD related NCCP was shown to be associated with psychological mood states such as anxiety and depression. Thus, we suggest that routine measurement of psychological mood states should be necessary in the evaluation and treatment of NCCP.

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소방공무원에서 우울 및 불안에 작용하는 대인관계 민감성/리질리언스의 영향 (The Effect of Interpersonal Sensitivity/Resilience on Depression and Anxiety in Firefighters)

  • 김선영;정나영;연보라;황선영;이경욱
    • 대한불안의학회지
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    • 제7권2호
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    • pp.107-112
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    • 2011
  • Objective : This study aimed to ascertain the effect of interpersonal sensitivity/resilience on depression and anxiety in firefighters whose frequency of exposure to traumatic events is high. Method : A survey was performed and data related to 75 firefighters were analyzed. Questionnaires included the Beck Depression Inventory (BDI) and Impact of Event Scale-Revised (IES-R). To assess the susceptibility or protector roles with respect to psychopathology, the Interpersonal Sensitivity Measure (IPSM) and Conner-Davidson Resilience Scale (CD-RISC) were used. Results : The personality characteristic, interpersonal sensitivity (IPSM) showed a significant positive correlation with depression (BDI, r=0.557, p<0.001) and posttraumatic stress symptoms (IES-R, r=0.316 ; p<0.001). In contrast, resilience and symptom parameters (BDI, IES-R) were negatively correlated with each other, but not statistically significant. However, an adaptive factor for change, a third sub-factor of CD-RISC, had significant negative correlation with depression and anxiety symptoms (BDI, r=-0.275, p<0.005 ; IES-R, r=-0.254, p<0.005). Conclusion : The results of the present study showed that some personality traits may act as vulnerability or protective factors with respect to the psychopathologies of depression and anxiety.

우울과 불안이 흉통 환자의 삶의 질에 미치는 영향 (Impact of Depression and Anxiety on Quality of Life in Patients with Chest Pain)

  • 신미희;박숙현;이한철;문은수;이혜원;김보원
    • 대한불안의학회지
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    • 제7권2호
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    • pp.79-84
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    • 2011
  • Objectives : There has been substantial evidence that patients with chest pain have depression and anxiety, and show impaired quality of life (QoL). This study aimed to campare the QoL according to types of chest pain and to examine the impact of depression and anxiety on QoL in patients with chest pain. Methods : Forty-seven patients with chest pain were divided into Cardiac-Typical Chest Pain (CTCP, n=22) and Non-Cardiac-Atypical Chest Pain groups (NCACP, n=25) according to the pain characteristics and cardiovascular disease. Patients were assessed for depression using the Beck Depression Inventory (BDI), for anxiety using the State-Trait Anxiety Inventory (STAI), and QoL was assessed using the Korean version of the SmithKlein Beecham 'Quality of Life' Scale (KvSBQOL). Results : Compared with the CTCP group, the NCACP group reported significantly higher anxiety, and lower QoL. There was no significant difference in QoL between the two groups after adjusting for anxiety. The QoL was associated with depression and trait-anxiety in the CTCP group, and with trait-anxiety in the NCACP group. Conclusion : The findings suggest that there are different effects of depression and anxiety on QoL in individuals with CTCP and NCACP. Understanding about these differences can be important in the treatment of patients with chest pain. A large prospective study is needed to confirm these results.

한국 직장인의 자살생각과 관련된 우울 및 불안증상의 특성 (The Characteristics of Symptoms of Depression and Anxiety Associated with Suicidal Ideation in Korean Employees)

  • 박주연;전상원;김은진;신동원;오강섭;신영철;임세원
    • 대한불안의학회지
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    • 제13권2호
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    • pp.148-155
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    • 2017
  • Objective : We have explored the relationship between suicidal ideation and some very specific characteristics of the symptoms of depression and anxiety in Korean employees. Methods : During the period 2013 through 2014, 100,793 employees who visited the Health Screening Center were asked to complete questionnaires, including the Center for Epidemiologic Study-Depression scale (CSE-D), the Beck Anxiety Inventory (BAI) and the presence of suicidal ideation. We attempted to determine which specific subscale, of each the CES-D and BAI would be more closely related to suicidal ideation by different gender and age by logistic regression. Results : Depression has been found to be a more prevalent and predominant factor in suicidal ideation, when compared to the presence of the condition of anxiety. Of four subscales of CES-D, issues arising from interpersonal relationships were most often associated with suicidal ideation, regardless of the chronologic age or gender of the subject. In BAI, cognitive anxiety showed a more significant association with suicidal ideation than did somatic anxiety in our study participants, showing same pattern in different gender and age groups. Conclusions : Among subscales of CES-D and BAI, the interpersonal relationship in CES-D and cognitive anxiety in BAI showed a higher and more significant association with suicidal ideation in Korean employees.

소방관의 우울, 불안, ADHD, 충동성 (Depression, Anxiety, ADHD, and Impulsivity with Fire Officers)

  • 신재권;김지선;임명호;이재원;김경민;이표규;오성범;양영애;백기청
    • 대한불안의학회지
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    • 제13권2호
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    • pp.93-99
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    • 2017
  • Objective : This study aimed to evaluate the association of exhaustion, ADHD, self-esteem, impulsivity, suicidal tendencies and quality of life as well as depression and anxiety in fire officers in Korea. Methods : This study was undertaken for the first time in Korea, from September 2016 to December 2016. A set of questionnaires was provided to a total of 113 fire officers and 284 other participants as a comparison group. All subjects were evaluated using the Beck's Depression Inventory, Beck's Anxiety Inventory, Malach Burnout Inventory, Korean Adult Attention Deficit Hyperactivity Disorder Scales, Rosenberg's Self-esteem Inventory, Baratt's Impulsivity Scale, Beck's Scale of Suicide Ideation, and Quality of Life Scale. Furthermore, the odds ratio of depression, anxiety, exhaustion, ADHD, self-esteem, impulsivity, suicidal tendency and quality of life were evaluated the fire officer group and control group were compared through logistic regression analysis. Result : The results of this study indicated that the fire officers were more likely to show depression, anxiety, exhaustion, ADHD, low self-esteem and higher impulsivity. Also, the association between the fire officer group and depression, ADHD and impulsivity was confirmed through logistic regression analysis. Conclusion : Timely and effective evaluation and treatment of impulsivity, as well as depression is required for fire officers.

직무스트레스와 우울 및 불안 증상의 연관성 (Association of Self-Reported Job Stress with Depression and Anxiety)

  • 김윤신;김은진;임세원;신동원;오강섭;신영철
    • 대한불안의학회지
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    • 제11권1호
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    • pp.38-46
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    • 2015
  • Objective : This study investigated the job stress and their association with depression and anxiety among Korean employees. Method : We retrospectively studied 80,842 employees, who receive regular checkups in the Health Screening Center of a one hospital from May, 2012 to April, 2013. A total of 73,975 people were analyzed, who completed a short form of Korean Occupational Stress Scale (KOSS), Center for Epidemiologic Study-Depression (CES-D) and Beck Anxiety Inventory (BAI). Results : Each of the seven subscales of KOSS was categorized into 4 quartile groups. Higher quartile of KOSS was associated with higher CES-D and BAI score an individual reported. The significantly increased odds ratios (ORs) in the higher scoring group compared to the lower scoring group for the effect of job stress on depression and anxiety remained after adjusting for age, sex, marital status, education, income, BMI, and smoking status. Conclusion : These results from a large number of respondents suggested that job stress might be related to depression and anxiety. Future investigations should design a prospective study to understand a causal relationship between job stress and psychiatric symptoms or disorders.

우울증상 심각도와 삶의 질, 기능손상간의 관계에 대한 불안의 매개효과 및 종교의 조절효과 (Mediating Effect of Anxiety and Moderating Effect of Religion on the Relationship between Severity of Depressive Symptom and Quality of Life and Disability)

  • 김현;신예니;김민경;정성원;김정범;정철호
    • 대한불안의학회지
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    • 제10권2호
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    • pp.128-136
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    • 2014
  • Objective : This study aimed to examine impact of anxiety and demographic factors on relationship between severity of depressive symptom and quality of life and disability. Methods : One hundred ninety five patients who met DSM-IV-TR criteria for depressive disorder were enrolled. It includes "Hamilton Rating Scale for Depression (HRSD)", "State-Trait Anxiety Inventory-State (STAI-S)", "General Health Questionnaire/Quality of Life-12 (GHQ/QL-12)", and "Sheehan Disability Scale (SDS)". Correlation analysis was used to see the correlations of each variable. Hierarchical regression analysis was used to see mediating effect of anxiety in the relationship. Sobel test was used to verify mediating effect. Multiple regression analysis was used to see moderating effect of demographic factors in the relationship. Results : There was partial mediating effect of anxiety on the relationship between severity of depressive symptoms and decreased quality of life (z=-11.68, p<.001)/increased disability (z=10.42, p<.001). Only religion was found to be moderating effect on the relationship between depressive symptoms and decreased quality of life. Conclusion : Rapid relief of anxiety along with depressive symptom had important implications for the treatment of patients with depression.

공군 신병의 기본군사훈련 기간에 따른 우울, 불안, 자살사고 (Depression, Anxiety and Suicidal Ideation According to Basic Military Training Duration in Air Force Conscripts)

  • 구자섭;최태영;이종훈
    • 대한불안의학회지
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    • 제5권2호
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    • pp.89-95
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    • 2009
  • Objective : This study examined changes in the depression, anxiety, and suicidal ideation among Air Force conscripts during their Basic Military Training. Methods : Study participants were 500 Air Force conscripts. The study reviewed participants' self-reports on depression, symptoms of anxiety, and suicidal ideation at weeks 2, 4, and 6 of their training. Results : At weeks 2 and 4 of training, participants' mean BDI, BAI, and SCL-90-R depression and anxiety subscale scores were within the mild ranges. However, at week 6, those mean scores were in the normal ranges. The mean scores for the BDI, the BAI, and the depression and anxiety subscales of the SCL-90-R at weeks 2 and 4 were significantly elevated over the corresponding scores for week 6 (each F=8.78, df=2, p<0.01 ; F=22.16, df=2, p<0.01 ; F=11.08, df=2, p<0.01 ; F=3.42, df=2, p<0.05). Suicidal ideation, revealed by the mean BSIS score, fell within the normal range (F=9.94, df=2, p<0.01) throughout the study period. Conclusions : These results suggest that conscripts' initial levels of psychological distress in the form of depression and anxiety are slightly elevated, but most adapt to this distress during basic training. Therefore, more attention must be paid to the early stages of conscripts' basic training in order to address these concerns.

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